Doctor Name: | JOHN JOSEPH OCONNOR |
NPI Number: | 1437157203 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25148 |
Business Practice Address: | 3109 Clearwater Drive Ste A Prescott, AZ - 86305 |
Business Phone Number: | 9287781066 |
Business Fax Number: | 9287787270 |
Mailing Address: | 3109 Clearwater Drive, Ste A PRESCOTT |
State: | AZ |
Postal Code: | 86305 |
Phone Number: | 9287781066 |
Fax Number: | 9287787270 |
NPI Enumeration Date: | 07/14/2005 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25148 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |